| NPI | 1447569876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E0900125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C0900125) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2012-11-02 |